Which statement correctly describes who may supervise a COTA in typical practice?

• A. A licensed OTR in accordance with state licensure
• B. A licensed PT
• C. A licensed nurse practitioner
• D. A certified athletic trainer

Answer: (A)

In typical occupational therapy practice, a Certified Occupational Therapy Assistant (COTA) works under the supervision of a licensed Occupational Therapist. The supervising OT must be licensed under state licensure to ensure they have the required education, scope of practice, and authority to direct the COTA’s evaluation, treatment planning, and ongoing care. This supervision structure keeps the COTA aligned with the plan of care and ensures patient safety and quality of services.

Other professionals, such as a licensed physical therapist, nurse practitioner, or certified athletic trainer, do not have the authority to supervise a COTA within standard practice. Physical therapists supervise Physical Therapist Assistants, and the other roles have different scopes and supervision requirements.